The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury

The rat median nerve model is a well-established and frequently used model for peripheral nerve injury and repair. The grasping test is the gold-standard to evaluate functional recovery in this model. However, no comprehensive review exists to summarize the course of functional recovery in regard to...

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Main Authors: Henrik Lauer, Cosima Prahm, Johannes Tobias Thiel, Jonas Kolbenschlag, Adrien Daigeler, David Hercher, Johannes C. Heinzel
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/8/1878
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author Henrik Lauer
Cosima Prahm
Johannes Tobias Thiel
Jonas Kolbenschlag
Adrien Daigeler
David Hercher
Johannes C. Heinzel
author_facet Henrik Lauer
Cosima Prahm
Johannes Tobias Thiel
Jonas Kolbenschlag
Adrien Daigeler
David Hercher
Johannes C. Heinzel
author_sort Henrik Lauer
collection DOAJ
description The rat median nerve model is a well-established and frequently used model for peripheral nerve injury and repair. The grasping test is the gold-standard to evaluate functional recovery in this model. However, no comprehensive review exists to summarize the course of functional recovery in regard to the lesion type. According to PRISMA-guidelines, research was performed, including the databases PubMed and Web of Science. Groups were: (1) crush injury, (2) transection with end-to-end or with (3) end-to-side coaptation and (4) isogenic or acellular allogenic grafting. Total and respective number, as well as rat strain, type of nerve defect, length of isogenic or acellular allogenic allografts, time at first signs of motor recovery (FSR) and maximal recovery grasping strength (MRGS), were evaluated. In total, 47 articles met the inclusion criteria. Group I showed earliest signs of motor recovery. Slow recovery was observable in group III and in graft length above 25 mm. Isografts recovered faster compared to other grafts. The onset and course of recovery is heavily dependent from the type of nerve injury. The grasping test should be used complementary in addition to other volitional and non-volitional tests. Repetitive examinations should be planned carefully to optimize assessment of valid and reliable data.
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spelling doaj.art-48273932297a4b5792f38818be0ea3282023-12-01T23:27:37ZengMDPI AGBiomedicines2227-90592022-08-01108187810.3390/biomedicines10081878The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve InjuryHenrik Lauer0Cosima Prahm1Johannes Tobias Thiel2Jonas Kolbenschlag3Adrien Daigeler4David Hercher5Johannes C. Heinzel6Department of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyLudwig Boltzmann Institute for Traumatology, The Research Center in Cooperation with AUVA, Donaueschingenstraße 13, 1200 Vienna, AustriaDepartment of Hand-, Plastic, Reconstructive and Burn Surgery, BG Unfallklinik Tuebingen, University of Tuebingen, Schnarrenbergstraße 95, 72076 Tuebingen, GermanyThe rat median nerve model is a well-established and frequently used model for peripheral nerve injury and repair. The grasping test is the gold-standard to evaluate functional recovery in this model. However, no comprehensive review exists to summarize the course of functional recovery in regard to the lesion type. According to PRISMA-guidelines, research was performed, including the databases PubMed and Web of Science. Groups were: (1) crush injury, (2) transection with end-to-end or with (3) end-to-side coaptation and (4) isogenic or acellular allogenic grafting. Total and respective number, as well as rat strain, type of nerve defect, length of isogenic or acellular allogenic allografts, time at first signs of motor recovery (FSR) and maximal recovery grasping strength (MRGS), were evaluated. In total, 47 articles met the inclusion criteria. Group I showed earliest signs of motor recovery. Slow recovery was observable in group III and in graft length above 25 mm. Isografts recovered faster compared to other grafts. The onset and course of recovery is heavily dependent from the type of nerve injury. The grasping test should be used complementary in addition to other volitional and non-volitional tests. Repetitive examinations should be planned carefully to optimize assessment of valid and reliable data.https://www.mdpi.com/2227-9059/10/8/1878median nervegrasping testnerve repairnerve crushnerve transectionrat
spellingShingle Henrik Lauer
Cosima Prahm
Johannes Tobias Thiel
Jonas Kolbenschlag
Adrien Daigeler
David Hercher
Johannes C. Heinzel
The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
Biomedicines
median nerve
grasping test
nerve repair
nerve crush
nerve transection
rat
title The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
title_full The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
title_fullStr The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
title_full_unstemmed The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
title_short The Grasping Test Revisited: A Systematic Review of Functional Recovery in Rat Models of Median Nerve Injury
title_sort grasping test revisited a systematic review of functional recovery in rat models of median nerve injury
topic median nerve
grasping test
nerve repair
nerve crush
nerve transection
rat
url https://www.mdpi.com/2227-9059/10/8/1878
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